Provider Demographics
NPI:1962574962
Name:MURDACO, FRANCIS J JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANCIS
Middle Name:J
Last Name:MURDACO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:255 WEST SPRING VALLEY AVE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MAYWOOD
Mailing Address - State:NJ
Mailing Address - Zip Code:07607
Mailing Address - Country:US
Mailing Address - Phone:201-845-6448
Mailing Address - Fax:201-845-4321
Practice Address - Street 1:255 W SPRING VALLEY AVE STE 203
Practice Address - Street 2:
Practice Address - City:MAYWOOD
Practice Address - State:NJ
Practice Address - Zip Code:07607-1444
Practice Address - Country:US
Practice Address - Phone:201-845-6448
Practice Address - Fax:201-845-4321
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2017-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA04667400207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B79896Medicare UPIN
WEL611Medicare ID - Type Unspecified